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Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

In 2021, many places in Guangdong have withstood a strong round of the test of the new crown epidemic, and the Delta strain that has been attacking the city all the way around the world has been successfully blocked in Guangdong, which is a concentrated embodiment of the unity of the people of the province and the unity of will, and is also a landmark achievement achieved by scientific epidemic prevention and precise measures. In this "epidemic" of "fast words first, strict words first, and real words as the key", the medical workers fighting in the front line are well-deserved pioneers, who use professional scientific technology and dedication and rigorous spirit to overcome severe tests and write "Guangdong's heroic spectrum of the epidemic group".

Character business card

Zhang Zhongde, Expert of the Medical Treatment Group of the Guangdong Working Group of the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council, Famous Traditional Chinese Medicine Practitioner of Guangdong Province, Doctoral Supervisor, Chief Physician and Professor of the Department of Respiratory Medicine. Member of the Standing Committee and Vice President of the Party Committee of Guangzhou University of Chinese Medicine, Member of the Party Committee and Vice President of Guangdong Provincial Hospital of Traditional Chinese Medicine, Director of the National Research Office for the Prevention and Treatment of Respiratory Infectious Diseases in Traditional Chinese Medicine, Leader of the "Twelfth Five-Year Plan" Key Discipline of Traditional Chinese Medicine (Infectious Diseases of Traditional Chinese Medicine), And Head of lingnan Zhen's Miscellaneous Diseases School Inheritance Studio. During the anti-epidemic period in Wuhan, he served as the deputy leader of the expert group of the State Administration of Traditional Chinese Medicine in response to the pneumonia epidemic prevention and control work of the new coronavirus infection.

Uncle De, it always sounds a sense of intimacy. He is Zhang Zhongde.

In 1978, the Hong Kong film "Bus Adventure and Good Luck" was released, and the ending song had a lyric: Uncle De finished his work early. Later, at a class meeting, some students shouted to the class leader Zhang Zhongde, Uncle De, finish the work early! "I'm only in my 20s, and I've always called me Uncle De."

Today, when the Neighbors of Guangdong mention "Uncle De" again, it is a "golden signboard" of Lingnan Traditional Chinese Medicine. From SARS, influenza A, avian influenza, dengue fever and then to the new crown, in the hearts of Guangdong people, the combination of traditional Chinese medicine and Western medicine to fight the epidemic, there is "Uncle De" on the ground.

On January 24 last year, he went to Wuhan, Hubei Province. January 12 this year, Xingtai, Hebei. March 31, Ruili, Yunnan. May 16, Yingkou, Liaoning. Northeast, North China, Southwest, this is Zhang Zhongde's map of the new crown epidemic.

On May 21 this year, when Guangzhou reported a case of new crown pneumonia caused by the Delta mutation, Zhang Zhongde once again set off from Liaoning to guangzhou to fight the epidemic. When he put on his protective clothing again and walked into the new crown isolation ward again, Uncle De fought for the Neighbors of Guangdong.

Up to now, after the collaborative treatment of traditional Chinese and Western medicine, all the severe cases in the epidemic in Guangzhou have been cleared, and 57 ordinary patients with severe disease tendencies have been blocked and turned into severe diseases, providing valuable experience for the prevention and control of delta variant strains of new crown pneumonia.

From Uncle De in Guangzhou, to Uncle De in Wuhan, to Uncle De in China. Zhang Zhongde came out with the "battle" of Chinese medicine.

Today, Uncle De is an expert in the medical treatment group of the Guangdong Working Group of the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council, the vice president of Guangzhou University of Traditional Chinese Medicine, and the vice president of Guangdong Provincial Hospital of Traditional Chinese Medicine. He is still the "Uncle De" in the mouth of Guangdong neighbors, visiting the doctor twice a week forever, and writing 3 medical records in 1 month.

Zhang Zhongde shouldered the burden of fighting the epidemic in traditional Chinese medicine, "but I am an ordinary doctor, but I just caught up with this era."

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

At the beginning of January this year, Zhang Zhongde went to Xingtai, Hebei Province, to support the treatment of new crown.

Learn the path of Chinese medicine

A few years ago, his son graduated from high school and wanted to study traditional Chinese medicine, Zhang Zhongde hesitated.

He decided to take his son out and walk around several well-known science and engineering colleges across the country.

When I got home, my son told Zhang Zhongde that I wanted to study Chinese medicine. If you don't let me study medicine, I'll go to a major I don't love so much and I won't go home.

Looking at the son in front of him, this father was relieved and entangled, "The road of Chinese medicine is too bitter..."

A TCM enlightenment: from a blank piece of paper to a doctor

At the same age as this boy, he filled in the Guangzhou University of Traditional Chinese Medicine on his college entrance examination volunteer book. The first class he attended was the history of Chinese medicine, and since then he has plunged into the "Five Elements of Yin and Yang" and "Cold and Hot And Righteous Qi", which are completely different from the modern medical system.

It felt like a child who had been studying for a few years Chinese was suddenly thrown into an environment where everyone spoke a foreign language. "You're reading ancient texts, you're reading ancient books, and you have to change channels."

In order to understand the theory of Chinese medicine, he read a lot of books, the second year of college began to contact medical cases, the third grade began to follow the teacher to check the room, manage the patient, "for a while, even to the point of enchantment, see the critically ill patients on the eyes glowing, follow the teacher to check the room, sleep without sleeping to ponder the principle of treatment." ”

In 1988, after graduating from school, Zhang Zhongde knocked on the door of guangdong Provincial Hospital of Traditional Chinese Medicine. "As a result, everything clears zero and starts over. In the hospital, you have to follow the path of training doctors to exercise, not counting in books, you must have the ability to be a doctor. ”

For this ability, he and hundreds of doctors were rooted in the three floors of the north area of Guangdong Provincial Hospital of Traditional Chinese Medicine. At the beginning of work, in order to protect a seriously ill patient, he did not go home for several days and nights. "Waited, waited, waited until the condition eased, that kind of happiness... No one else can understand. ”

But this happiness also comes with mixed emotions. Zhang Zhongde found that the hospital gradually could not pay salaries, and the year-end bonus at the end of the year was delayed. When a seriously ill patient is seriously ill, a group of doctors can't treat it... Encephalopathy, heart disease, send to the same road, 1 km away from sun Yat-sen University Sun Yat-sen Memorial Hospital to go; in case of lung disease, go forward, turn a corner, and send to another nearby hospital; encounter children's disease, more convenient, walk 500 meters, there is a hospital next door to receive.

Zhang Zhongde can't forget a picture. At that time, every New Year's Day, the then leader of the Guangdong Provincial Hospital of Traditional Chinese Medicine had to go door to door knocking on the doors of several large hospitals next door. "I want to thank these big hospitals, thank you to the leaders of these hospitals, willing to help us treat those critically ill patients who can't handle it, we can't save it..."

B Provincial TCM Tree People Program: Study in the hospital, study in the province, and study with the national famous doctors

Since the end of the 1990s, Guangdong Provincial Hospital of Traditional Chinese Medicine has made up its mind that the development of hospitals should start from talent training. The growth process of Zhang Zhongde and other young doctors is the development and construction process of Guangdong Provincial Hospital of Traditional Chinese Medicine.

"Our generation just happened to meet." The hospital has set a goal to cultivate high-level and compound talents in the field of traditional Chinese medicine. To ensure that the level of Chinese medicine stands at the forefront, modern medical capabilities must keep up. "You say you are a Chinese medicine practitioner, but you only know things before the Ming Dynasty, so you go back to the Ming Dynasty to become a doctor, right?" Modern scientific and technological achievements, Western medicine can be used, why can't Chinese medicine be used? In order to develop the best diagnosis and treatment plan for patients, I was determined to learn. ”

The hospital has developed a long-term training plan for this group of young faces for 5 years, 10 years and 20 years.

Starting from Zhang Zhongde's undergraduate class, the hospital requires that the graduate course must be completed at the same time as the work, and if it cannot be completed, it cannot be promoted to the title, and if it cannot be promoted in three years, it is necessary to find a way out for itself.

"That was so tired... During the day, the outpatient clinic, you have to start studying at night; not only to complete the degree course, the hospital also invited the chinese and Western medicine experts from all over the province, Tuesday, Wednesday, Saturday, Sunday lectures, study, examination; but also with the teacher, the hospital's older doctor has a skill, you have to go with, to learn; but also to keep writing experience, writing summaries, the most important thing to be a doctor is to accumulate; finally the foundation that should be laid, but also to improve, to go out of the province to study. ”

"But the Guangdong Provincial Hospital of Traditional Chinese Medicine at that time, compared with its current popularity, was completely different. We were sent to study abroad, went to Beijing, went to Shanghai, others looked, you are from Guangdong Provincial Hospital of Traditional Chinese Medicine? I don't accept you, because the popularity is not good, people don't know how your practical ability is..." It was the hospital leader at that time, through entrusting people and finding relationships, constantly visiting, constantly explaining, and communicating. "It touched them later. At that time, the young people in our hospital were studying in other provinces every year. ”

The first 5 years lay the foundation, and the last 5 years do specialist. In 1995, Zhang Zhongde went to Guangzhou Institute of Respiratory Diseases (now Guangzhou Institute of Respiratory Health) for further study. Every Monday at 11:00 a.m., Professor Zhong Nanshan takes everyone to check the room, and on Wednesday afternoon, the consultation begins. Respiratory medicine, intensive care medicine, how other people's thinking is different, how others update their knowledge, how others use scientific and technological means, Zhang Zhongde has to learn, and then combine the theory of Chinese medicine to practice.

This is certainly a long path of cultivation, which is privately called "devil training." Where the destination is, what is the meaning and reward, Zhang Zhongde does not want to, nor dare to think. "All the work, all the difficulties, really just a few words: 'OK!' 'Yes! ''No problem!'' ''I'll do it'. Look up at the road and do things with your head down. ”

This is indeed an almost cruel cultivation route. But it is also under this training system that Chen Dacan, president of Guangdong Provincial Hospital of Traditional Chinese Medicine, Yang Zhimin, vice president, Lu Chuanjian, vice president, Zou Xu, director of the Department of Critical Care Medicine, and Lin Dingkun, director of the Department of Orthopedics, have stepped out...

They have become the mainstay of lingnan chinese medicine today.

Eighteen months later, Zhang Zhongde graduated from the Guangzhou Institute of Respiratory Diseases, and Zhong Nanshan, who was less than 60 years old at the time, handed zhang Zhongde his graduation certificate. "Really, when I was almost 40 years old, I dared to tell my family that I could raise you."

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

The road to the fight against SARS

40 years old, in Zhang Zhongde's heart, is a turning point for Chinese medicine people. 5 years to lay the foundation, 5 years to do the specialty, the foundation is good and good, the next 15 years will begin to cultivate the leader of the specialty. "So you see, being a doctor in my 40s is just beginning."

In 2003, Zhang Zhongde was 39 years old.

A day of fighting with colleague Ye Xin

SARS raid. Guangdong Provincial Hospital of Traditional Chinese Medicine began to treat SARS patients one after another, and was the first hospital in Guangzhou to confront SARS. At that time, Zhang Zhongde was the director of the emergency department of the hospital's Ershadao Hospital, "The hospital set the emergency department as a screening point. Fever, suspected, put here first. ”

"At the beginning, we wore masks made of cotton yarn, there was no standard protective clothing, gloves were not enough to wear two, as usual, we still looked at the tongue, touched the pulse, auscultation, thought we could block ... Later, this hurdle, too big. ”

In the face of such a fierce respiratory infectious disease, not only Zhang Zhongde and his colleagues are not ready, but the medical community across the country is not ready for how to prevent and control sudden major infectious diseases.

The risk of hospitality caused by long-term detention is extremely great. The doctors who stayed in the hospital had a tacit understanding in their hearts: first, seriously ill patients, let the doctors who are married and have children see first; second, don't go home; third, there is no you and me, no doctors and nurses, only us.

Ye Xin, the 47-year-old head nurse of the emergency department of Ersha Island Hospital at the time, and Zhang Zhongde led everyone to the top. During the day, I worked desperately until I didn't go back until eleven or twelve at night. At night, he stayed in the hospital guest house.

"Thinking of a person at night, obviously good during the day, how can it become heavier at night?" And that person, who was okay a few days ago, how suddenly he entered the ICU. ”

"You say you're not afraid? In the dead of night, be afraid! ”

One day, a suspected SARS patient was seriously ill and needed endotracheal intubation.

As a severe infectious disease of the respiratory system, respiratory failure is a symptom that may occur at any time in SARS patients, and in this case, respiratory intervention treatment must be carried out, which is also known later as intubation of patients.

However, it is precisely this treatment method that is most likely to infect medical staff with the SARS virus.

Watching the patient's condition deteriorate, Ye Xin, head nurse, Zhang Zhongde, director of the emergency department, an anesthesiologist and two other medical nurses, decided to intubate the patient. Later, the patient was diagnosed, and later, the patient stopped breathing.

B was diagnosed with SARS, "Don't come near me"

Two days later, Ye Xin had a fever at 39 °C and was diagnosed with SARS. That night, Zhang Zhongde had a fever of 38.7 ° C, and was diagnosed with SARS.

"After handling the isolation work of Chief Nurse Ye Xin, I found that the exhaled gas was like a fire, and I couldn't move my legs." He stood in the clearing outside his office and shouted to his colleagues, "I may be infected, don't come near me," and the nurse handed a thermometer from the window, 38.7°C.

Subsequently, Zhang Zhongde returned to the hospital guest house, packed all the clothes he had stayed in for a month, packed them in two black bags, and then tied them tightly with tape. "I told the caregiver not to touch it, take it all and burn it."

After saying that, he moved step by step toward the isolation ward of the hospital, pointed to a hospital bed, and said, "I want that bed, I should be (SARS patient)." ”

Later tests showed that Zhang Zhongde was diagnosed with SARS, and both lungs already had lesions. Originally it was others who saved, but now they want others to save themselves. "Every day after that, I felt that this might be the last day of my life." He pressed the written suicide note under his pillow, "I won't talk about this long process, it's really too uncomfortable." ”

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

Zhang Zhongde recalled the SARS infection. Screenshot of a TV interview

This time, it was not only Ye Xin and Zhang Zhongde who fell, but the five people who were intubated together that day were all infected.

On March 8, Ye Xin's condition took a sharp turn for the worse and she was transferred to the intensive care unit for critically ill patients. When a doctor in charge approached, she wrote a line: "Don't come near me, it will be contagious." The hospital tried everything to treat Ye Xin, and at 1:30 a.m. on March 25, 2003, Ye Xin left this world.

Zhang Zhongde, who is still being treated at Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, only learned of this news a few days later. "At first, they didn't dare tell me... Later, I couldn't stand it, I really couldn't stand it..."

In May 2003, Guangdong Provincial Hospital of Traditional Chinese Medicine erected a white statue for Ye Xin, head nurse, next to the emergency department of Ershadao Hospital. On the pedestal of the statue, four words are written: Great Doctor Jingcheng.

Perhaps by chance of fate, Zhang Zhongde shouted at his colleagues, "I may be infected, you don't want to go near me", standing next to the statue of Ye Xin now. In the years that followed, every year during the Qingming Dynasty, the hospital organized everyone to go to the Galaxy Cemetery together to visit the grave of ye Xin martyrs.

Zhang Zhongde did not dare to follow the big team, "It's too painful." ”

Every year at dawn, he took the family with him, but a day in advance, staggered with the large queue.

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

In 2003, after the SARS epidemic, Zhang Zhongde and his colleagues were commended.

The battle against COVID-19

A big event can reflect the true face of a group or even an era.

"SARS became my biggest challenge at the time, and it was the one I was least prepared for." On April 4, 2003, Zhang Zhongde was cured and discharged from the hospital, and he regarded this day as his second birthday, "The whole of Guangdong has done its best to treat us, and this is the beginning of my second life." Being kinder, more responsible, more rewarding, that's what I've learned. ”

In 2003 SARS, 2009 H1N1 influenza virus, 2013 H7N9 avian influenza, 2014 dengue fever outbreak local outbreak, Zhang Zhongde and colleagues, through the combination of traditional Chinese and Western medicine, won one hard battle after another.

However, no one knows what kind of virus or infectious disease humanity will encounter next.

"For the prevention and control of infectious diseases, we must do a good job in precautions. Of course, the absence of infectious diseases is our best wish. But without the threat of public health events such as infectious diseases, it does not mean that we can relax our vigilance, but we must do a good job in early warning programs. Zhang Zhongde said.

A Chinese New Year's Eve set off at night and rushed to Wuhan

At the beginning of last year, once watching the news, Zhang Zhongde's sensitive nerves tightened again - there was an unexplained respiratory infection disease in Wuhan, and after reading the situation, he felt that there were many similarities with SARS at that time.

Soon, Zhang Zhongde received the news that he had rushed to Wuhan to support the fight against the epidemic. "How to say, I always feel that with the method of combining Traditional Chinese medicine and Western medicine, I have dealt with several previous epidemics, and this battle still has a bottom in my heart."

But the practical difficulties are still beyond the imagination of this old Chinese medicine man. "On the afternoon of January 24, 2020, the train arrived in Wuhan. On the whole street, except for the person who picked me up, there was no one else at the train station..." Zhang Zhongde chuckled in his heart: The actual severity, the degree of difficulty in this battle, may exceed expectations.

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

On January 24, 2020, Zhang Zhongde stepped on a train to the Wuhan epidemic area.

This is another special Spring Festival. In 2003, 2020, and 2021, Zhang Zhongde's three Spring Festivals did not have a good time.

At 8:00 a.m. on the first day of the Chinese New Year last year, Zhang Zhongde and his party entered Jinyintan Hospital, entered the intensive isolation ward with full armament, inspected the room, left the ward for 5 and a half hours, and began to hold a meeting at 3 p.m. At the beginning of the new year, I went to 4 hospitals to check the patient's condition. We analyzed and studied the collected cases of the disease, from the onset of the disease to the evolution of the symptoms, to the treatment process, to the changes of the chest x-ray.

B Use Chinese medicine to meet the battle and lead the team to "win the battle and zero infection"

On the third day of the Chinese New Year, the fourth day of Zhang Zhongde's arrival in Wuhan, the "Diagnosis and Treatment Plan for Pneumonia Infected by Novel Coronavirus (Trial Fourth Edition)" was officially released. Among them, with regard to TCM treatment, on the basis of the previous edition, the original plan was adjusted and supplemented, four prescriptions and dosages were recommended, and the recommended proprietary Chinese medicines in the medical observation period, the middle stage and the severe stage were added. The "Plan" requires that all units strengthen the integration of traditional Chinese medicine and Western medicine, establish a diagnosis system of traditional Chinese and Western medicine, and promote good results in medical treatment.

Subsequently, the guangdong medical team members arrived one after another and began to take over the ward, but Zhang Zhongde could not sleep. Before the team members entered the ward, he went to talk to everyone: what is the degree of awareness of the disease, the degree of logistical support, and the lack of materials in this group of young people? Zhang Zhongde's heart was bottomless.

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

Zhang Zhongde examined the isolation gown for Huang Kaifeng, a member of the Hubei medical team.

"I can't sleep, I really can't sleep. Before approaching the ward, I told everyone that the first week was the most prone to hospital feelings. But we came, stood here, and came not to travel, but to fight. ”

Since January 24, 2020, in accordance with the deployment of the superior, Guangdong Provincial Hospital of Traditional Chinese Medicine has sent a total of 88 medical personnel from nine batches of medical teams to Hubei, including the second and fourth batches of national assistance to Hubei Traditional Chinese Medicine Medical Team and the Guangdong Provincial Aid Hubei Medical Team, and carried out the treatment of covid-19 patients in designated medical institutions such as Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan Leishenshan Hospital, Wuhan Hankou Hospital, Wuhan Dongxihu Fang cabin hospital, Jingzhou Central Hospital, and Jingzhou Jianli County Hospital of Traditional Chinese Medicine.

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

In Wuhan Leishenshan Hospital, Zhang Dezhong examined the patient.

With the joint efforts of Zhang Zhongde and his teammates, the medical team focused on the advantages of traditional Chinese medicine through the combination of traditional Chinese medicine and Western medicine, maximized the advantages of 1+1>2, effectively improved the cure rate of new crown pneumonia patients, especially severe and critically ill patients, and reduced the mortality rate. In the end, Zhang Zhongde led the team to withstand the pressure, successfully completed the medical treatment task, and achieved the goal of the medical team to "win the battle and zero infection".

On March 20, 2020, the Guangdong medical team that rushed to Wuhan completed the task of fighting the epidemic and returned to Guangzhou. Zhang Zhongde, who set out Chinese New Year's Eve, chose to continue to stay at Leishen Mountain in Wuhan, Hubei Province.

At the airport, looking at the back of his teammates, Zhang Zhongde, who had gray hair, took off his glasses, covered his face and cried. "We must let our colleagues return to Guangzhou safely one by one." This time I did. ”

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

On March 20, 2020, Zhang Zhongde bid farewell to the first batch of returning team members and burst into tears.

Fight the new crown again at your doorstep

On January 24 last year, I went to Wuhan. January 12 this year, Xingtai, Hebei. March 31, Ruili, Yunnan. May 16, Yingkou, Liaoning. On May 26, he rushed back to Guangzhou.

This is Zhang Zhongde's map of the new crown epidemic. Northeast, North China, Southwest China, and then returned to Guangzhou's local fight against the epidemic. Zhang Zhongde, who is now an expert in the medical treatment team of the Guangdong Working Group of the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council, vice president of Guangzhou University of Traditional Chinese Medicine, and vice president of Guangdong Provincial Hospital of Traditional Chinese Medicine, has always been on the front line of the fight against the new crown pneumonia epidemic in the combination of traditional Chinese and Western medicine.

A Return to the local anti-epidemic Chinese medicine can do more

On May 21, Guangzhou reported a case of COVID-19 caused by the Delta strain, and Zhang Zhongde rushed back to Guangzhou from Liaoning. In less than a month, the morning tea transmission chain triggered by the Delta mutation strain spread locally in Guangzhou. Up to now, a total of 167 cases of infection have been reported in the Guangzhou epidemic, including cases in sister cities in the chain of transmission.

From large-scale nucleic acid testing, to the first establishment of the "yellow code" system, the genetic testing of all cases of the strain, and the re-grading of closed and sealed control models... Guangdong is facing the Delta mutant strain head-on, multi-pronged, scientific warfare against the epidemic, and Guangzhou is gradually recovering from the epidemic. The clinical treatment work, especially the integrated Chinese and Western medicine treatment carried out by traditional Chinese medicine involved in it, has also begun to bear fruit.

Zhang Zhongde said that among the local patients treated in this round of epidemic in Guangzhou, there were 156 patients treated with traditional Chinese medicine and Chinese and Western medicine, accounting for 93.4%. During this period, 91 patients have been discharged from the hospital, of which 67 patients (73.6%) have been treated with pure Chinese medicine, 16 patients (17.6%) have been treated with integrated Chinese and Western medicine, and Chinese medicine and integrated Chinese and Western medicine account for 91.2%.

After the collaborative treatment of traditional Chinese and Western medicine, 1 case of critically ill patients has withdrawn from ECMO, 3 cases of critically ill patients have been extubated, 8 cases of severe patients have been converted to ordinary type, and 57 cases of ordinary patients with severe disease tendencies have been blocked and turned into severe disease, providing valuable experience for the prevention and control of Delta mutant strain of new crown pneumonia, and Chinese medicine "battle" has come out.

B identifies the core pathogenesis of the Delta variant after infection

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

Zhang Zhongde served as an expert in the medical treatment team of the Guangdong Working Group of the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council during the local epidemic.

Because Guangzhou is located in the south, the summer climate is hot and humid, the patient sweats a lot, the gas is removed with fluid, especially the severe patients or high fever patients are extremely weak, loss of appetite, weak breathing...

Compared with the cases in Wuhan, Hebei, Yunnan, and Northeast China, the patients in the epidemic in Guangzhou are mainly fever, high fever, cold, head and body pain, muscle soreness, sputum cough, sore throat, dry throat, fatigue, bloating, loss of appetite and other symptoms, and the proportion of red tongue and greasy tongue has also increased significantly. For example, the proportion of fever is more than 80%, of which the proportion of high fever (body temperature exceeding 39 degrees Celsius) is as high as 34.5%, which is the highest in the previous local outbreaks.

The Delta variant strain is cunning, with more than 80 percent of infected patients developing fever and more than 34 percent experiencing hyperthermia. However, through early exploration and practice, Zhang Zhongde and his colleagues quickly summarized their core disease mechanisms according to some new changes and clinical manifestations, and the effect observed after treatment through the combination of traditional Chinese medicine and Western medicine was very good.

Viral diseases are often self-limiting diseases, and if a patient can survive a critical period, his own immunity is the key to defeating the virus. "Regulating and enhancing immunity, which is what Chinese medicine is good at, through measures such as heat dissipation, intestinal treatment of lungs, and simultaneous treatment of lungs and intestines, to improve the overall state of patients, support patients' vital signs, and win time for the recovery of immune function." In the symptomatic treatment of traditional Chinese medicine, Uncle De and the traditional Chinese medicine team stationed in the city of eight have made fine adjustments, adhering to the adherence, but adding a new treatment plan for early correction and full rectification.

C "TCM is useful in coping with emerging infectious diseases"

Like the famous masters of the past generations, the sincerity of modern Chinese medicine is also reflected in psychological comfort and humanistic care. In the eighth ward of the city, a middle-aged patient was extremely anxious after diagnosis, "he may feel that he can't survive this pass, coupled with the continuous fever aggravates this bad mood." ”

When Zhang Zhongde and the Western medicine treatment team went in to check the room every day, they would communicate with him more, explain the condition, and inspire him with the examples around him. "You look at the bed next door, it was much heavier than you when you came, and now you're all out of bed and walking. Believe in us, and believe in yourself...", three times a day, in the morning, middle and evening, the medical staff will change their ways to motivate him. On the third day his body temperature began to drop, his appetite was much better, and his mood improved.

There is also an old man who has a bad mental state after the stroke, is unwilling to communicate with people, does not cooperate with treatment, and even does not take medicine, but likes to drink yogurt. The Chinese medicine treatment team prescribes good medicines to form decoctions, and the nursing team washes the yogurt cups of the elderly, pours the soup medicine into it, and smoothly "coaxes" the elderly to take the medicine.

"The combination of traditional Chinese medicine and Western medicine treats the new crown, seriously ill and critically ill patients turn into ordinary and mild patients, the nucleic acid test results turn negative one by one, and the sequelae are reduced to the lightest by means of traditional Chinese medicine." This is what patients see. Whether it is Western medicine or Chinese medicine, everyone has only one purpose, to treat diseases and save people. ”

On March 20, 2021, the State Key Laboratory of Wet Certificates of Traditional Chinese Medicine and the Academic Committee of Guangdong Academy of Chinese Medical Sciences and the Construction Planning Demonstration Meeting of the Provincial and Ministerial Governments were held in Guangzhou. At the meeting, it was announced that China's first state key laboratory of traditional Chinese medicine was jointly built in Nansha, Guangzhou, and the construction was officially launched. "This must be a milestone event for responding to public health events of emerging infectious diseases in the future, and it will be an event that will go down in history for the overall development of traditional Chinese medicine."

Along the way from SARS, Chinese medicine has also gained a new understanding in the new infectious diseases and public health events. "After SARS, influenza A and avian influenza, Chinese medicine has fully demonstrated its advantages, and now the new crown epidemic has formed a consensus that Chinese medicine is useful in emerging infectious diseases."

Uncle De's mission

Looking back at the road ahead, the times have created the general trend of the development of traditional Chinese medicine, and Zhang Zhongde feels that he is only one of the beneficiaries. "So again, I'm not that good, I'm just an ordinary doctor, just catching up with this era."

A generation has a generation of missions, when he was young, Zhang Zhongde did not dare to think of anything, only dared to bury his head and rush forward, and now he has provoked the burden of chinese medicine to fight the epidemic.

"Chinese medicine is no longer the three fingers of the Ming Dynasty. Our mission is to make good use of modern scientific and technological achievements and civilization achievements to find a good combination of traditional Chinese medicine. Maybe this mission has only just begun. ”

He seemed to see the moments that his son had to go through on the long road to study medicine: as bitter as he was, as persistent as he was, as he faced unknown difficulties and even lost, and then stood up the same way.

The son wanted to learn Chinese medicine, and Zhang Zhongde agreed.

Uncle De's "burden": with Chinese medicine people, fight the new crown at the doorstep

Thematic Coordinator: Wang Daobin, You Mani

Written by: Nandu reporter Dong Xiaoyan Wang Daobin

Video: Nandu reporter Wu Jialin

Photo: Nandu reporter Tan Qingju Zhang Zhitao Wu Jialin Some of the pictures were provided by the interviewees

Correspondents: Song Liping and Wang Junfei

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